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* 1. What is your full legal name?

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* 2. What is your phone number and email?

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* 3. When are you looking to move?

Date

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* 4. How long have you been employed with your current employer?

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* 5. What is your approximate monthly household income?

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* 6. If we needed to, would we be able to get references from your employer and former landlords?

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* 7. How many people will be living with you (including yourself)?

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* 8. How many evictions have you had in the past 7 years?

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* 9. Are you bringing any animals with you? If so, breed?

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* 10. Are you able to get utilities in your own name?

T